| NPI | 1467749648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY HAMTON Clinical Manager 415-821-1427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 38-22) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |